Building the Foundation for Standardized Care Metrics in Jejunoileal Atresia: A Systematic Review of Reported Baseline Characteristics, Treatment Variables and Outcomes

构建空回肠闭锁标准化护理指标的基础:对已报告的基线特征、治疗变量和结果的系统评价

阅读:1

Abstract

Background/Objectives: An evidence-based list of key variables regarding jejunoileal atresia (JIA) care needs to be established to enable quality evaluation and optimization of its care. The aim of this study is to provide an overview of reported patient, treatment, and outcome variables for JIA as documented in recent literature. This list has not been developed previously and will be the foundation for a JIA quality indicator set of the European Pediatric Surgery Audit (EPSA). Methods: A systematic review of the literature on the primary care path of JIA, published between 2013 and 2023, was conducted following the PRISMA guidelines. All relevant patient characteristics, parameters regarding JIA treatment, and outcomes were extracted from the included publications. Results: A total of 844 variables were extracted from 94 included articles. One hundred fifty-seven parameters were mentioned in more than 5% of publications. The most mentioned patient characteristics were sex (86%), gestational age (71%), and associated anomalies (66%). The most mentioned treatment parameters were stoma placement (34%), primary anastomosis (41%), and time to full enteral nutrition (24%). Most mentioned outcomes were mortality (70%), length of hospital stay (55%), and complications (60%). Conclusions: This study created an overview of reported patient characteristics, treatment, and outcome variables regarding the treatment of JIA. A focus on the short-term management and outcomes of JIA was observed; frequently discussed topics were perioperative management, surgical techniques, and feeding management. Our results will serve as the foundation for a Delphi study to develop a core indicator set for JIA, enabling benchmarking and measurement of quality of care.

特别声明

1、本页面内容包含部分的内容是基于公开信息的合理引用;引用内容仅为补充信息,不代表本站立场。

2、若认为本页面引用内容涉及侵权,请及时与本站联系,我们将第一时间处理。

3、其他媒体/个人如需使用本页面原创内容,需注明“来源:[生知库]”并获得授权;使用引用内容的,需自行联系原作者获得许可。

4、投稿及合作请联系:info@biocloudy.com。